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60 Second Solutions
July 2010 | MY SETTINGS
60 Second Solutions
by Johnson & Hill
Dear Kathy,

Did you know that FMLA fraud costs employers more than $4.8 billion each year? And FMLA abuses are up more than 150%.

So how can you protect your firm?

The best way to keep employees from gaming FMLA leave is to use the law's medical certification process. Keep reading and you'll learn
10 Steps to Fight FMLA Fraud.

Best Regards,

June Liberty
Johnson & Hill
This Month's Solution:
The Challenge:
Employees are becoming increasingly sophisticated about the ways they beat the Family Medical Leave Act (FMLA). To protect your business, you need to become just as sophisticated about managing requests for leave.

The 60 Second Solution:
10 Steps to Fight FMLA Fraud


FMLA stands for the Family Medical Leave Act. The law's intention is to give people more medical recovery time or time to care for a loved one.

But, the law is sometimes referred to as the "Far More Leave than Anyone Intended Act" and the "Slacker's Protection Act." Officials at the Society for Human Resource Management in Alexandria, VA, said many companies grant FMLA requests even if they do not believe the reasons are legitimate because they are worried about compliance.

If you're concerned about FMLA fraud, follow these 10 steps:
  1. Obtain a medical certification for each request for leave due to a serious health condition. It's important that your sick leave or attendance policy requires a doctor's certification for all absences of three or more days for the leave to be excused. If there's no such requirement and you intend to require paid leave to run concurrent with FMLA leave, you might not be able to require a medical certification, which is the first step in an anti-fraud program.

  2. Enforce a policy denying the leave request if an employee fails to submit certification within 15 days. In each instance, assess any appropriate penalties for failure to be at work.

  3. Examine the certification closely to ensure it's been properly and fully completed. If the medical certification is incomplete, specify in writing what information is lacking and allow the employee at least seven days to cure the deficiency. If the employee fails to do so, deny the leave request. If the medical certification doesn't support the existence of a serious health condition, obviously you should deny the request.

  4. Require a second opinion if the circumstances are even slightly suspicious.

  5. Once the certification is approved, make a limited inquiry each time the employee requests more leave, particularly in the case of intermittent FMLA leave. Is this leave related to the original qualifying reason?

  6. Watch the schedule of absences closely in cases of intermittent leave to determine whether a suspicious pattern develops (e.g. immediately before and after weekends or days off) or whether there's a change in the frequency or timing. Such actions could suggest a change in condition that enables you to request a recertification.

  7. Request recertification as often as the law allows. The frequency of recertification permitted will differ depending on the type of leave and the type of serious health condition.

  8. Require accrued leave to run concurrently with FMLA leave when allowed by law. When an employee realizes that taking leave today will affect future vacation time, he or she is more likely to take FMLA only when the need is legitimate.

  9. Ask the physician to verify that the medical certification is exactly as he or she signed it and has not been altered.

  10. Aggressively pursue potential fraud, and if concrete evidence of fraud is discovered, take appropriate disciplinary action. Always follow up on tips from fellow employees or other sources that the employee does not, in fact, need leave.
Source:
http://www.leap2010.com/articles/12/1/Fight-FMLA-fraud---a-10-step-program/Page1.html
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60 Second Solution.

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